Healthcare Provider Details

I. General information

NPI: 1730256108
Provider Name (Legal Business Name): CHERYL LEFEVRE M.ED., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 HORIZON CT STE 100B
GRAND JCT CO
81506-8715
US

IV. Provider business mailing address

744 HORIZON CT STE 220
GRAND JUNCTION CO
81506-3939
US

V. Phone/Fax

Practice location:
  • Phone: 970-596-2702
  • Fax: 844-888-1231
Mailing address:
  • Phone: 970-596-2702
  • Fax: 844-888-1231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2977
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: